Job stress and burnout syndrome among critical care healthcare workers

Background: Among healthcare professions, critical care healthcare workers (HCWs) have one of the most stressful jobs. This study was conducted to determine the relationship between job stress and burnout syndrome (BOS) among nurses and healthcare technicians at the surgical emergency department and intensive care unit of Critical Care department at the Alexandria University Hospital.Methods: A cross-sectional approach was conducted from October 2014 to March 2015. Eighty-two nurses and healthcare technicians participated in the research (response rate = 80.39%). Data was collected by an interview questionnaire using selected subscales of NIOSH Generic job stress Questionnaire and Maslach Burnout Inventory of Health and human service Questionnaire. The relationship between BOS and job stress was examined using bivariate and multivariate analyses.Results: Although majority of participants reported variation of workload (84.15%), quantitative overload (76.8%), responsibility for peoples’ life (69.5%) and lack of perceived control (63.41%), yet, 85.4% were satisfied with their job. Moreover, high levels of emotional exhaustion was reported by the majority of participants (80%), while less than one third reported either high levels of depersonalization or low levels of personal accomplishment domains of BOS. In multiple regression analysis, skill underutilization, variation in workload, and intragroup conflicts were negatively associated with BOS domains. While, job satisfaction and responsibility for peoples’ life were positively associated with personal accomplishment domain of BOS.Conclusion: Critical care HCWs had high BOS. The study concluded that reducing intragroup conflict, improving skills utilization, and raising job satisfaction are crucial to reduce BOS among critical care HCWs. More attention and psychological support is recommended to critical care HCWs.Keywords: Burnout syndrome, Critical care, Healthcare workers, Job stress, Nurse

Effect of Monosodium Glutamate on the Digestibility of Different Nutrients Using Standardized Static In vitro Digestion Model

Monosodium glutamate (MSG) is a flavor enhancer and food additive with a unique umami taste. Due to its widespread use in humans, this study focused on the cytotoxicity, anti-diabetic effect, and interaction with protein digestion by performing a standardized static in vitro digestion model and lipid digestion by estimating free fatty acids released from 0.5 g of olive oil during intestinal lipolysis. The study showed that monosodium glutamate has an apparent cytotoxic effect on the Caco-2 cell line in a dose-dependent manner. MSG glutamate also showed low inhibitory activity on alpha-glucosidase enzyme even at high concentrations (16.3 % at 1800 ppm). By performing simulated in vitro digestion to study the interaction between MSG and protein digestion, followed by MTT study, total protein determination, and pH drop method, all results concluded that MSG affected proteolysis. Finally, the impact of MSG on lipolysis was studied through a free fatty acid release test. The results of the study demonstrated that MSG harmed fat digestibility in a concentration-dependent manner. As a result, it is essential to conduct further studies, especially in vivo studies, to determine the potential negative effects of MSG on human health

Hepatitis-c virus infection and exposure to blood and body fluids among nurses and paramedical personnel at the Alexandria University Hospitals, Egypt

Background: Worldwide, prevalence of anti-HCV positivity in health care workers (HCWs) ranges from 0% to 9.7%. The current study was conducted to calculate prevalence of HCV infection, frequency and characteristics of blood and body fluid (BBF) exposure among HCW at the Alexandria University Hospitals.Methods: Hospital-based cross-sectional approach was adopted. At the Hospitals, 62.2% of available nurses and paramedical personnel voluntarily participated (n = 499), and were interviewed, screened for HCV antibodies. Quantitative estimation of HCV-RNA was done to seropositive cases.Results: Prevalence of anti-HCV antibodies and HCV infection was 8.6%, and 4.4% respectively. The frequency of BBF exposures was 66.7%. Blood/blood products were mainly involved (92.1%). More than half of exposed HCWs reported not wearing personal protective devices. Anatomical site of exposure was mainly right hand palm (36.2%). Regarding needle-stick injuries, two thirds of injured HCWs were the original user of sharp item which was contaminated in 79.7% of injuries. In 70.2% of injuries, disposable syringes were involved and occurred during item disposal. About 61% of injuries were superficial.Conclusion: Prevalence of HCV infection among HCWs is similar to that among general population in the country. Nurses and housekeepers are frequently exposed to BBF. Adherence to infection control measures according to the National Guidelines is crucial to reduce HCV transmission.Keywords: Hepatitis C, Infection, Needlestick injuries, Nurses, Paramedical personne

H5N1 Clade 2.2 Polymorphism Tracing Identifies Influenza Recombination and Potential Vaccine Targets

Highly pathogenic Influenza A H5N1 was first identified in Guangdong Province in 1996, followed by human cases in Hong Kong in 1997 1. The number of confirmed human cases now exceeds 300 and the associated Case Fatality Rate exceeds 60% 2. The genetic diversity of the serotype continues to increase. Four distinct clades or sub-clades have been linked to human cases 3.4. The gradual genetic changes identified in the sub-clades have been attributed to copy errors by viral encoded polymerases that lack an editing function, thereby resulting in antigenic drift 5. We traced polymorphism acquisition in Clade 2.2 sequences. We report here the concurrent acquisition of the same polymorphism by multiple, genetically distinct, Clade 2.2 sub-clades in Egypt, Russia and Ghana. These changes are not easily explained by the current theory of “random mutation” through copy error, and are more easily explained by recombination with a common source. This conclusion is supported by additional polymorphisms shared by Clade 2.2 isolates in Egypt, Nigeria and Germany including aggregation of regional polymorphisms from each of these areas into a single Nigerian human hemagglutinin gene

CROSS RESISTANCE OF DIPEL 2x RESISTANT STRAIN OF PINK BOLLWORM PECTINOPHORA GOSSYPIELLA (SAUND.) TO SOME CONVENTIONAL AND BIOINSECTICIDES

A field strain of pink bollworm Pectinophora gossypiella (Saund.) collected from Sharquia Governorate, Egypt was exposed to the selection pressure of the for-mulation of Bacillus thuringiensis subsp. Kurstaki, Dipel 2x under laboratory condi-tions. Resistance ratio attained 16-fold based on the susceptible strain after 14 gen-erations of selection. Study the response of Dipel 2x resistant strain to some insecti-cides indicated that there is no cross resistance to the conventional insecticides, es-fenvalerate, chlorpyriphos and thiodicarb or the bioinsecticides Ecotech and Agerin. These data may be emphasizing the possibility of rotation the Dipel 2x with these insecticides in pest control program of pink bollworm to manage resistance to Bt products

ASSESSMENT AND EVALUATION HEALTH RISKS OF HEAVY METALS IN INDOOR AND OUTDOOR AIR WITH X-RAY FLUORESCENCE (WDX)

The present study aimed to investigate the potentially toxic metal (Zn, Cu, Cr, Ni, Fe, and Mn) Health hazard. Air dust samples were collected from outdoor and, indoor air at El-Minia city, Egypt. Heavy metal contents were performed using X-ray fluorescence (WDX)

Toxicological, biological, and biochemical impacts of the egyptian lavender (Lavandula multifida L.) essential oil on two lepidopteran pests

The use of essential oils as an eco-friendly tool in pest management stems from their natural origin and the presence of bioactive compounds that exhibit pesticidal properties, offering a sustainable alternative to synthetic chemical pesticides. This study explores the toxicity of Lavandula multifida (lavender) essential oil (EO), as a botanical pesticide against two widespread and destructive Noctuidae pests, Spodoptera littoralis (Boisd.) and Agrotis ipsilon (Hufnagel). GC-MS was employed to characterize 23 compounds in the EO, with 1,3,3-trimethyl-2-oxabicyclo [2.2.2] octane (eucalyptol) (39.84%), being the primary component. The leaf dipping technique was utilized to assess the toxicity of the EO to both insects. At 96 hours post-treatment, the LC50 of lavender EO to S. littoralis and A. ipsilon larvae were 2.350 and 2.991 mg · ml–1, respectively. Concerning its biological effect, both concentrations of the EO (LC15 and LC50) significantly shortened the duration of the larval (to 15.24 and 14.23 days) and pupal (to 11.19 and 10.55 days) stages of S. littoralis. Biochemical assays revealed that the LC50 of lavender EO significantly inhibited α-esterase activity in S. littoralis at 72- and 96 hours post-treatment (0.031 and 0.063 mmol · min–1 · mg–1), and A. ipsilon at 96 hours post-treatment (0.129 mmol · min–1 · mg–1 protein). Given its significant toxicological, biological, and biochemical effects on S. littoralis, it is suggested that lavender EO could be considered for use in integrated pest management strategies while ensuring its safe application to protect non-target organisms

Effect of activity particle size distribution on deposition fraction of inhaled radon decay products in human respiratory system

The activity particle size distribution is an important factor governing if the aerosols can be deposited at various respiratory tract regions in human. Radon decay products are the second cause of lung cancer after smoking. A lot of dosimetric models have been built in to calculate the effective dose and effective depth dose in different region and tissues of human respiratory system. The deposition fraction estimation is the first step of dose calculation. Therefore, the dependence of radioactive aerosols deposition fraction in human respiratory system on their size should be studied. In this work, the activity size distributions of 222Rn decay products (218Po, 214Pb and 214Bi,) are measured in indoor air. Only unattached fraction of 218Po (active median thermodynamic diameter AMTD∼1-1.5 nm) was measured with developed diffusion battery. Nearly 85% of 218Po activity is free with its short half-life time. Most of the measured attached activities of (214Pb and 214Bi) are associated with the aerosol particles of the accumulation mode (0.2 μm to 2 μm). The activity distribution of the two radionuclides is typically identical. The active median aerodynamic diameter (AMAD) is 0.42 μm with a geometric standard deviation (GSD) of 3.4. Given that dose estimation is sensitive to environmental conditions and based on the obtained experimental results, the local energy deposition of (214Pb and 214Bi) by adult male for various levels of physical exertion (sleeping, sitting, light exercise and Heavy exercise) is computed with LUDEP program. For unattached particles (1-5 nm) nearly 98% are deposited unlike accumulated fraction (0.42 μm in our case) not more 30 % is deposited in the respiratory system. © 2019 Author(s)

Alarming Eating Behaviours among Adolescents in Egypt

BACKGROUND: Adolescence is a phase of rapid growth and increased nutritional needs. It includes the stressful burden of pubertal changes, both physically and psychologically. Moreover, it is associated with the utmost need for independence and identity formation. An adolescent finds a great way to practice taking their own decisions by making personal food choices. But unfortunately, wrong dietary choices lead to unsatisfactory nutritional status. AIM: To investigate the prevalence of six eating behaviours among adolescents. SUBJECTS AND METHODS: A case-control study was conducted on ninety Egyptian adolescents from 10 to 18 years old. Anthropometric measurements were taken. Body Mass Index (BMI) was calculated. The cases were forty-five children with body mass index ≥ 85th percentile. The control group involved forty-five of matched peers with body mass index ˂ 85th centile. A questionnaire form was constructed according to local customs in Egypt. RESULTS: Two unhealthy behaviours were mostly found in our study group. The first and the predominant one was multitasking while eating practised by 92.1% of candidates and showing the equal distribution in both groups. The second was skipping breakfast and was adopted by 51.7% of the study group with a significantly higher distribution in the ˂ 85th centile group. CONCLUSION: Faulty eating is a behaviour encountered in adolescence irrespective to BMI category. Thus, a normal BMI does not reflect healthy dietary behaviours